| NPI | 1558964395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 163362) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122041) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2026-05-11 |